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Am J Med. 2018 Oct;131(10):1155-1160. doi: 10.1016/j.amjmed.2018.04.043. Epub 2018 May 30.

Accuracy and Efficacy of Hand-Held Echocardiography in Diagnosing Valve Disease: A Systematic Review.

Author information

1
Department of Medicine.
2
Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA; Department of Cardiology, Tel-Aviv Sourasky Medical Center affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Israel.
3
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Medicine, Mount Sinai St. Luke's-Mount Sinai West Hospital Center, New York, NY.
4
Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
5
Division of Cardiology, Soroka University Medical Center and Joyce and Irving Goldman Medical School, Ben Gurion University of the Negev, Beer-Sheva, Israel.
6
Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: robert.siegel@cshs.org.

Abstract

In recent years, advances in technology have enabled hand-held echocardiography (HHE) to generate high-quality 2-dimensional and color Doppler images. As these devices become smaller, simpler, and more affordable, the question of whether HHE can augment or replace auscultation as the primary mode of cardiovascular diagnosis has become increasingly more relevant. If widely implemented, HHE has the potential for significant cost savings and better resource utilization. This review examines studies comparing the sensitivities of auscultation, HHE, and standard echocardiography in detecting various valvular lesions and discusses why current evidence supports the use of HHE to augment the physical examination, which can lead to more reliable and rapid bedside diagnoses, triage, and appropriate treatment of structural cardiac abnormalities.

KEYWORDS:

Echo; Echocardiography; Hand-held; Pocket-sized; Point-of-care; Ultrasound

PMID:
29856962
DOI:
10.1016/j.amjmed.2018.04.043
[Indexed for MEDLINE]

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